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DR. MITCHELL ROBERT GOLDSTEIN M.D.
NPI 1659335636
Psychiatry & Neurology - Child & Adolescent Psychiatry in South Bend, IN

Active since April 14, 2006PECOS Enrolled
107 N EDDY ST, SOUTH BEND, IN 46617(574) 246-1036(574) 246-1634 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mitchell Robert Goldstein M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITCHELL ROBERT GOLDSTEIN M.D. (NPI 1659335636) is an individual child & adolescent psychiatry provider in South Bend, Indiana, licensed in Indiana (01041575) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of New York Medical College (1988).

NPPES Registry Identity

NPI1659335636
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MITCHELL ROBERT GOLDSTEINCredential: M.D.
Location Address107 N EDDY STSouth Bend, IN 46617-2920
Mailing Address107 N Eddy StSouth Bend, IN 46617-2920 · (574) 246-1036 · Fax (574) 246-1634
Phone(574) 246-1036
Fax(574) 246-1634
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1988
Enumeration DateApril 14, 2006
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1659335636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IN · 01041575
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01041575 (IN)
107 N EDDY ST, South Bend, IN 46617
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Other Identifiers 2

Medicaid100346980BIN
Medicaid100346980AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mitchell Robert Goldstein M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527257922
PECOS Enrollment IDI20110118000215
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARI CHAMBERLIN MS ED
Counselor (Mental Health)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036
LISA B KELLY LCSW
Social Worker (Clinical)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036
MITCHELL R GOLDSTEIN, MD
Counselor (Professional)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 532-0153
KATHY J CANADY-NAGY LCSW
Social Worker (Clinical)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (575) 742-4610
CARRIE CONDER LCSW
Social Worker (Clinical)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036
ASHLEY S KOLBE MSW
Social Worker
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Goldstein's NPI number?

The NPI number for Mitchell Goldstein is 1659335636. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Mitchell Goldstein located?

Mitchell Goldstein practices at 107 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 246-1036.

What is Mitchell Goldstein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mitchell Goldstein enrolled in Medicare?

Yes. Mitchell Goldstein is registered in the Medicare PECOS enrollment system.

What insurance does Mitchell Goldstein accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Providence Health Plan and UnitedHealthcare list Mitchell Goldstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mitchell Goldstein affiliated with any hospitals?

According to CMS data, Mitchell Goldstein is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Mitchell Goldstein was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.